Introduction Spinal anesthesia is the most commonly used technique for lower abdominal surgeries as it is very economical and easy to administer. A number of adjutants, such as Opioids , Clonidine, and Midazolam have been studied to prolong the effect of spinal anesthesia (ELIA , et al 2008). Dexmedetomidine a new highly selective a2-agonist is under evaluation as a neuraxial adjuvant as it provides stable hemodynamic conditions, good quality of intraoperative and postoperative analgesia with minimal side effects (Kanazi and Al-Ghanem 2009). Magnesium sulfate (Mg) is an antagonist of N-methyl D Aspartate receptor (NMDA) improves postoperative analgesia after intrathecal administration as an effective adjuvant to bupivacaine (Soave and Arcangeli 2009). Aim of the work To compare the postoperative analgesic effects and any side effects ofdexmedetomidine and magnesium sulfate (Mg) when added to bupivacaine in spinal anesthesia in patientsundergoing perianal surgeries. Patients and methods Ninty ASA physical status I and II patients aged 18-70 years, of either sex, scheduled for perianal surgeries under spinal anesthesia in this prospective randomized, double-blinded study. Results All the Mg cases needed analgesia within 4 hours postoperative, while for all the Dex cases needed analgesia within5 hours postoperative. The difference between the two groups was highly significant.
Objectives: This study aims to investigate the efficacy of transforaminal epidural steroid injection (TFESI) versus radiofrequency application on drug consumption for lumbosacral radicular pain relief. Patients and methods: The study, which was conducted between September 2012 and September 2014, included 40 patients with lumbosacral radicular pain. All injections were applied under C-arm fluoroscopy guidance, using a mix of bucaine and lidocaine. patient's intake of analgesic medication was measured at the baseline before the intervention, and again after the intervention by one week ,after 1 month and after three months , to determine the effect of intervention on analgesic drug consumption , amount of drug consumption measured in mgs per day. Results: There was statistically significant difference in the NSAIDs consumption post procedure between the two groups, steroid group had a decrease in NSAIDs (Ibuprofen) consumption more then the PRF group (P-value<0.05), There was statistically significant difference in the tramadol consumption post procedure between the two groups specially after one week and one month, steroid group had a decrease in tramadol consumption more then the PRF group (P-value<0.05) , There was no statistically significant difference in the pregabaline consumption post procedure between the two groups, but steroid group had a decrease in pregabaline consumption more then the PRF group (P-value < 0.05). Conclusion: In this follow-up study, transforaminal epidural steroid injection was found to be effective in both the early period and in the mid-term, And improve the drug consumption more than the radiofrequency application .
Objectives: This study aims to Compare the Effectivenesses of transforaminal epidural steroid injection (TFESI) for the Nerve Roots Steroid Injections Versus Pulsed Radiofrequency Application For Treatment of Chronic Low Back Pain Patients and methods: The study, which was conducted between September 2013 and September 2016, included 40 patients with low back pain (13 males, 27 females; median age 45 years; [min. 22-max. 88 years]). All injections were applied under Carm fluoroscopy guidance, using a mix of methyprdnisone and macain. The valuation parameters are pain evaluation pre and post the procedure (2hrs after the procedure , 1st week ,after one month and after 3 months from the procedure) .the pain evaluation by visual analoge scale (0-10) and low back pain questionare also consumption of analgesic drugs is compared pre and post procedure. Reporting of possible complications Results: As regard pain scores for both groups group there was significant decrease in VAS score in both groups from the preprocedure score (P-value<0.001). Patients in group 1 had less VAS scores in comparison for group 2 (P-value=0.005). also There was significant decrease in LBP score in both groups from the preprocedure score (P-value<0.001). Patients in group 1 had less LBP score in comparison for group 2 (P-value<0.001). Conclusion: In this study, we aimed to present the effectiveness 0f Transforaminal Nerve Roots Steroid Injections Versus Pulsed Radiofrequency Application For Treatment of Chronic Low Back Pain. We found that there was significant decrease in VAS score in both groups from the pre procedure score. Patients in TFESI group had less VAS and low back pain scores in comparison for PRF group , and application of PRF is more safe than steroid injection
Aim: This work aims to compare the postoperative analgesic effects and side effects of Dexamethasone or Magnesium sulfate (Mg) that added to bupivacaine.
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